Active NPI
Janet M. Laursen, RD
- Registered Dietitian
- Huntersville, NC
National Provider Identifier
1386719367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L001887
- Practice address
- 16525 Holly Crest LN
Suite 150
Huntersville, NC 28078-4909 - Phone
- (704) 384-1725
- Fax
- (704) 384-1726
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L001887 | NC | Primary |
Addresses
Primary practice location
16525 Holly Crest LN
Suite 150
Huntersville, NC 28078-4909
Mailing address
1900 Randolph Rd
Suite 500
Charlotte, NC 28207-1122
Phone (704) 384-9113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L001887 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Urology Physician
- Huntersville, NC
- NPI 1881707487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386719367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 RANDOLPH RD",
"address_2": "SUITE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071122",
"telephone_number": "704-384-9113",
"fax_number": "704-316-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16525 HOLLY CREST LN",
"address_2": "SUITE 150",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280784909",
"telephone_number": "704-384-1725",
"fax_number": "704-384-1726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURSEN",
"first_name": "JANET",
"middle_name": "M.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L001887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.